| Thomas R. Bales Dds Inc | |
|
1713 Novato Blvd Novato CA 94947 | |
| (415) 897-3141 | |
| (415) 898-3445 |
| Full Name | Thomas R. Bales Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1713 Novato Blvd, Novato, California |
| Authorized Official Name and Position | Thomas Reed Bales (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 4158973141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R. Bales Dds Inc 1713 Novato Blvd Novato CA 94947 Ph: (415) 897-3141 | Thomas R. Bales Dds Inc 1713 Novato Blvd Novato CA 94947 Ph: (415) 897-3141 |
| NPI Number | 1770688517 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770688517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24429 (California) | Primary |
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